Bloodborne Pathogens EXPOSURE CONTROL PLAN DEFINE BLOODBORNE PATHOGENS
Bloodborne Pathogens EXPOSURE CONTROL PLAN
• DEFINE BLOODBORNE PATHOGENS • RECOGNIZE OSHA STANDARDS RELATED TO BLOODBORNE PATHOGENS • IDENTIFY EMPLOYER RESPONSIBILITIES RELATED TO COMPLIANCE WITH OSHA STANDARDS
• BLOODBORNE PATHOGENS Pathogenic microorganisms that are present in human blood or other potentially infectious materials and can cause disease in humans. • PATHOGENS INCLUDE BUT ARE NOT LIMITED TO: HEPATITIS B HIV – HUMAN IMMUNODEFICIENCY VIRUS
• 29 CFR 1910. 1030, OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS • PUBLISHED DECEMBER 1991 • EFFECTIVE MARCH 1992 • SCOPE • ALL OCCUPATIONAL EXPOSURE TO BLOOD AND OTHER POTENTIALLY INFECTIOUS MATERIAL (OPIM).
Hepatitis B OSHA estimates 5. 6 million workers are at risk of exposure to bloodborne pathogens such as Hepatitis B and Human Immunodeficiency HIV / AIDS
• …REASONABLY ANTICIPATED SKIN, EYE, MUCOUS MEMBRANE, OR PARENTERAL CONTACT WITH BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS THAT MAY RESULT FROM THE PERFORMANCE OF AN EMPLOYEE’S DUTIES. • DUTIES MAY INCLUDE: • NURSING SERVICES • ENVIRONMENTAL SERVICES • WASTE MANAGEMENT • ATHLETICS
• EXPOSURE DETERMINATION • ALL JOB CLASSIFICATIONS IN WHICH ALL EMPLOYEES IN THOSE JOB CLASSIFICATIONS HAVE OCCUPATIONAL EXPOSURE. • JOB CLASSIFICATIONS IN WHICH SOME EMPLOYEES HAVE OCCUPATIONAL EXPOSURE. • ALL TASKS AND PROCEDURES…IN WHICH OCCUPATIONAL EXPOSURE OCCURS AND THAT ARE PERFORMED BY THE ABOVE LISTED EMPLOYEES.
Exposure Determination • OSHA CATEGORY 1 • ADMINISTRATORS • ATHLETIC DIRECTOR OSHA Cat. 1 – Employees who stand a reasonable risk of exposure to potentially infectious materials • SCHOOL NURSE • STUDENT SERVICES ASSISTANT • SCHOOL SECRETARY (WHEN NURSE IS NOT AVAILABLE) • SPECIAL ED TEACHERS • SPECIAL ED TECHNICIANS • ATHLETIC COACHES • CUSTODIAL STAFF • BUS DRIVERS
Exposure Determination • OSHA CATEGORY 2 • TEACHERS • FOOD SERVICE STAFF • CLERICAL STAFF • ADULT ED TEACHERS • MECHANICS • CO-CURRICULAR STAFF • SUBSTITUTE TEACHERS • SUMMER EMPLOYEES OSHA Cat. 2 – Employees who do not have predictable exposure to potentially infectious materials
• THE SCHEDULE AND METHOD OF IMPLEMENTATION FOR: • METHODS OF COMPLIANCE. • HEPATITIS B VACCINATION AND POST-EXPOSURE EVALUATION AND FOLLOW-UP FOR ANY EXPOSURE. • COMMUNICATION OF HAZARDS TO EMPLOYEES. • RECORDKEEPING.
• THE PROCEDURE FOR THE EVALUATION OF CIRCUMSTANCES SURROUNDING EXPOSURE INCIDENTS: • IMMEDIATE AVAILABILITY FOR EXPOSED EMPLOYEES TO CONFIDENTIAL MEDICAL EVALUATION AND FOLLOW-UP. • DOCUMENTATION OF THE ROUTE(S) OF EXPOSURE, AND THE CIRCUMSTANCES UNDER WHICH THE EXPOSURE INCIDENT OCCURRED.
• STANDARD (UNIVERSAL)PRECAUTIONS • …SHALL BE OBSERVED TO PREVENT CONTACT WITH BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS. • …ALL BODY FLUIDS SHALL BE CONSIDERED POTENTIALLY INFECTIOUS MATERIALS.
• PURPOSE - TO ELIMINATE OR MINIMIZE EMPLOYEE EXPOSURE: • READILY ACCESSIBLE HAND WASHING FACILITIES. • CONTAMINATED SHARPS MANAGEMENT. • KEEPING FOOD AND DRINK OUT OF THE WORK AREA. • PROCEDURES INVOLVING BLOOD HANDLING. • TRANSPORT OF SPECIMENS. • CONTAMINATED EQUIPMENT. CFR 1910. 1030 (D)(2)
• TEACHING APPROPRIATE TECHNIQUE, MAKE NO ASSUMPTIONS! • AVAILABILITY OF MATERIALS. • REINFORCING AND REMINDING. • MONITORING.
• PROVIDE ALCOHOL-BASED HAND CLEANSERS IN MULTIPLE LOCATIONS. • MONITOR USE BY VOLUME REPLACEMENT AND OBSERVATION. • WHEN THEY SHOULD BE USED: IF HANDS ARE NOT VISIBLY DIRTY, IF SOAP AND WATER ARE NOT AVAILABLE. • FREQUENT USE IS RECOMMENDED, GOOD AMOUNT, RUBBING INTO ALL SURFACES OF HANDS UNTIL DRY. • WASHING WITH SOAP AND WATER: CAREFUL TECHNIQUE, 2030 SECONDS, IF HANDS ARE DIRTY, AND AFTER DIRECT CONTACT WITH POTENTIALLY INFECTIOUS MATERIAL, AFTER TOILETING.
• OSHA, CDC, NIOSH
• SHALL BE USED WHERE EXPOSURE REMAINS AFTER INSTITUTION OF ENGINEERING AND WORK PRACTICE CONTROLS. • EMPLOYER SHALL PROVIDE APPROPRIATE PPE AT NO COST TO EMPLOYEE. • MAY INCLUDE: GLOVES, GOWNS, LABORATORY COATS, FACE SHIELDS OR MASKS, EYE PROTECTION, MOUTHPIECES, RESUSCITATION BAGS, POCKET MASKS, OR OTHER VENTILATION DEVICES.
• USE • ACCESSIBILITY • CLEANING, LAUNDERING, AND DISPOSAL • REPAIR AND REPLACEMENT • GARMENT PENETRATION • PPE REMOVAL PRIOR TO LEAVING WORK AREA
• WORKSITE MAINTAINED IN CLEAN AND SANITARY CONDITION. • CLEANING AND DECONTAMINATION OF ITEMS. • SAFE DISPOSAL.
• CONTAMINATED SHARPS DISCARDING AND CONTAINMENT: • APPROVED SHARP CONTAINERS • EASILY ACCESSIBLE • UPRIGHT • NOT ALLOWED TO OVERFILL • CONTAINER REMOVAL • CLOSE IMMEDIATELY PRIOR TO REMOVAL • PLACE IN SECONDARY CONTAINER IF LEAKAGE IS POSSIBLE
• OTHER REGULATED WASTE CONTAINMENT: • CLOSEABLE, CONSTRUCTED TO CONTAIN ALL CONTENTS, LABELED OR COLOR-CODED, CLOSED PRIOR TO REMOVAL. • IF OUTSIDE CONTAMINATION OF THE CONTAINER OCCURS, IT SHALL BE PLACED IN A SECOND CONTAINER. • DISPOSAL OF ALL REGULATED WASTE SHALL BE IN ACCORDANCE WITH APPLICABLE REGULATIONS.
• PUBLIC LAW 106 -430 • SIGNED INTO LAW NOVEMBER 2000 – ENACTED IN 2001 – PART OFOSHA STANDARDS. • “NEEDLESTICK SAFETY AND PREVENTION ACT” • WHY? IN 2000, IT WAS ESTIMATED THAT OVER 300, 000 PERCUTANEOUS INJURIES WOULD OCCUR INVOLVING CONTAMINATED SHARPS.
• REQUIRES THAT ORGANIZATIONS USE SAFER MEDICAL DEVICES WITH INJURY PROTECTION OR NEEDLELESS SYSTEMS. • NEED TO REFLECT THE CHANGES IN TECHNOLOGY THAT CAN ELIMINATE OR REDUCE EXPOSURE TO BLOOD BORNE PATHOGENS. • MUST DOCUMENT ANNUALLY THE CONSIDERATION AND IMPLEMENTATION OF SAFER DEVICES.
• LIST FOR EACH INCIDENT THE TYPE AND BRAND OF DEVICE INVOLVED, DEPARTMENT/WORK AREA, AND HOW THE INCIDENT HAPPENED. • MUST “SOLICIT INPUT” FROM NON-MANAGERIAL STAFF IN THE IDENTIFICATION, EVALUATION, AND SELECTION OF EFFECTIVE ENGINEERING AND WORK PRACTICE CONTROLS AND SHALL DOCUMENT THIS INPUT PROCESS IN THE EXPOSURE CONTROL PLAN.
• THE EMPLOYER SHALL MAKE AVAILABLE THE HEP B VACCINE & APPROPRIATE MEDICATION…TOALL EMPLOYEES WHO HAVE OCCUPATIONAL EXPOSURE. • EMPLOYEES WHO CHOSE NOT TO TAKE THE VACCINE MUST SIGN THE RSU 16 DECLINATION FORM.
• DOCUMENTATION OF THE ROUTE(S) OF EXPOSURE. • IDENTIFICATION AND DOCUMENTATION OF THE SOURCE INDIVIDUAL. • COLLECTION AND TESTING OF BLOOD FORHBV AND HIV. • POST-EXPOSURE PROPHYLAXIS AND CARE. • COUNSELING. • EVALUATION OF REPORTED ILLNESSES.
LABELS AND SIGNS INFORMATION AND EDUCATION • AT THE TIME OF INITIAL ASSIGNMENT • AT LEAST ANNUALLY • WHEN CHANGES OCCUR • CONTENT AND VOCABULARY APPROPRIATE TO EDUCATIONAL LEVEL, LITERACY, AND LANGUAGE OF EMPLOYEES.
• PROVIDED TO ALL EMPLOYEES WHO MAY BE AT RISK FOR EXPOSURE. • AT NO COST. • MINIMUM REQUIREMENTS • CFR 1910. 1030 (G)(2)(VII) LISTS ALL TRAINING PROGRAM REQUIREMENTS.
• MEDICAL RECORDS • SHALL BE MAINTAINED FOR DURATION OF EMPLOYMENT PLUS 30 YEARS. • TRAINING RECORDS • SHALL BE MAINTAINED FOR 3 YEARS FROM THE DATE OF TRAINING.
• LACK OF TRAINING • BUSY, HECTIC, RUSHING • DECREASED AWARENESS OF HAZARDS • “IT WON’T HAPPEN TO ME…. ”
Additional Information SAFETY AND HEALTH COMPLIANCE OFFICER CENTRAL OFFICE, 3 AGGREGATE ROAD, POLAND 998 -2727 X 113
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